JESSICA TAN (NPI# 1598327967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598327967 |
| Entity Type | Individual |
| Full Name | JESSICA TAN |
| Practice Address |
50 Acacia Ave San Rafael CA 94901-2230 |
| Mailing Address |
29 Royal Tern Ln Laguna Beach CA 92656-1211 |
| Practice Telephone | 4154574440 |
| Mailing Telephone | 9492287292 |
| Enumeration Date | 2019-07-05 |
| Last Update Date | 2020-09-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598245755 | Jessica Tan | Physical Therapist | 11335 Ssg Sims St., El Paso, TX 79918 | 2018-08-17 |
| 1568001071 | Jessica Tan | Pharmacist | 99 Montecillo Rd, San Rafael, CA 94903-3308 | 2019-12-31 |
| 1417480310 | Jessica Tan | Nurse Practitioner | 861 Coronado Center Dr Ste 220, Henderson, NV 89052 | 2017-04-07 |
| 1760842181 | Jessica Tan | Case Manager/Care Coordinator | 4300 Sw 13th St, Gainesville, FL 32608-4006 | 2016-02-26 |
| 1578713707 | Jessica Suhui Tan | Allergy & Immunology | 1000 Franklin Pkwy, San Mateo, CA 94403-1922 | 2008-09-24 |
| 1417156811 | Jessica Chi-min Tan | Radiology | 505 Parnassus Ave, L-371, San Francisco, CA 94143-2204 | 2007-07-16 |
| Street Address |
50 ACACIA AVE |
| City | SAN RAFAEL |
| State | CA |
| Zip Code | 94901-2230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417921339 | Jesse J Mazza | Specialist | 50 Acacia Ave, San Rafael, CA 94901-2230 | 2006-02-15 |
| 1396350740 | Sarah Marie Rubin | Student in an Organized Health Care Education/Training Program | 50 Acacia Ave, San Rafael, CA 94901-2230 | 2020-09-12 |
| 1205441730 | Arshdeep Kaur | Student in an Organized Health Care Education/Training Program | 50 Acacia Ave, San Rafael, CA 94901-2230 | 2020-09-11 |
| 1811502545 | Ekta Patel | Student in an Organized Health Care Education/Training Program | 50 Acacia Ave, San Rafael, CA 94901-2230 | 2020-09-10 |
| 1831704709 | Reagan Munson | Student in an Organized Health Care Education/Training Program | 50 Acacia Ave, San Rafael, CA 94901-2230 | 2020-09-09 |
| 1477168342 | Cynthia Tsay | Student in an Organized Health Care Education/Training Program | 50 Acacia Ave, San Rafael, CA 94901-2230 | 2020-09-09 |
| 1063027886 | Anahid Eslami Farsani | Student in an Organized Health Care Education/Training Program | 50 Acacia Ave, San Rafael, CA 94901-2230 | 2020-09-09 |
| 1588279343 | James Robert Poon | Student in an Organized Health Care Education/Training Program | 50 Acacia Ave, San Rafael, CA 94901-2230 | 2020-09-09 |
| 1285249102 | Cassandra Noelle Paul | Student in an Organized Health Care Education/Training Program | 50 Acacia Ave, San Rafael, CA 94901-2230 | 2020-09-09 |
| 1003421975 | Miranda Minh-han Nguyen | Student in an Organized Health Care Education/Training Program | 50 Acacia Ave, San Rafael, CA 94901-2230 | 2020-09-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780207134 | Marianne Haissman Stefancic | Marriage & Family Therapist | 409 Forbes Ave., San Rafael, CA 94901 | 2020-05-20 |
| 1093292765 | Marin Community Clinic | Clinic/Center | 411 4th Strteet, Suite A, San Rafael, CA 94901 | 2018-07-25 |
| 1275052516 | Laura Ellen Silverstein | Marriage & Family Therapist | 600 Fifth Avenue, San Rafael, CA 94901 | 2017-09-19 |
| 1689101107 | Marin Family Recovery | Clinic/Center | 1209 Third St. Ste 4, San Rafael, CA 94901 | 2017-05-15 |
| 1376070011 | Tencia Beavers-sanchez | Counselor | 710 C Street Suite#8, Marin Outpatient&recoveryservices, Sanrafael, CA 94901 | 2017-05-12 |
| 1326584905 | Jamie Waterman | Emergency Medical Technician, Basic | 675 Sir Francis Drake Blvd, Kentfield, CA 94901 | 2017-01-06 |
| 1295270676 | Stephen Marks | Counselor | 900 Fifth Avenue, Suite 150, ; San Rafael, CA 94901 | 2016-12-21 |
| 1497299812 | Vesna Sturman | Psychologist | 712 D St Ste L, San Rafael, CA 94901 | 2016-12-05 |
| 1063955771 | Carol Dutton Hollenberg | Behavior Technician | 503 D St., San Rafael, CA 94901 | 2016-11-29 |
| 1083069447 | Bay Area Community Resources | Community/Behavioral Health | 103 Shoreline Parkway, San Rafael, CA 94901 | 2016-05-04 |
| Find all providers in zip 94901 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770191538 | Deirdre Ann Martinez | Student in an Organized Health Care Education/Training Program | 66 Oxford Dr, San Rafael, CA 94903-2887 | 2020-07-17 |
| 1043833841 | Kevin Nasre | Student in an Organized Health Care Education/Training Program | 103 Gable Ct, San Rafael, CA 94903-5208 | 2020-05-27 |
| 1194369116 | Diana Duran Robles | Student in an Organized Health Care Education/Training Program | 308 Glen Park Ave Apt B, San Rafael, CA 94901-1361 | 2019-11-01 |
| 1710404991 | Janine Nicole Carpenter | Student in an Organized Health Care Education/Training Program | 3230 Kerner Blvd Ste 120, San Rafael, CA 94901-4840 | 2017-08-28 |
| 1477006880 | Francesca Zulueta | Student in an Organized Health Care Education/Training Program | 1050 Court St, Apt 510, San Rafael, CA 94901-2982 | 2016-08-02 |
| 1336692102 | Deborah Styles | Student in an Organized Health Care Education/Training Program | 1330 Lincoln Ave, # 201, Community Institute for Psychotherapy, San Rafael, CA 94901-2120 | 2016-07-28 |
| 1639379944 | Elizabeth Chapman Foxx | Student in an Organized Health Care Education/Training Program | 1330 Lincoln Avenue, San Rafael, CA 94901-2120 | 2007-07-24 |
| 1558407544 | Susan Eve Aceves | Student in an Organized Health Care Education/Training Program | 1 Saint Vincent Dr, San Rafael, CA 94903 | 2007-01-29 |
| 1396350740 | Sarah Marie Rubin | Student in an Organized Health Care Education/Training Program | 50 Acacia Ave, San Rafael, CA 94901-2230 | 2020-09-12 |
| 1205441730 | Arshdeep Kaur | Student in an Organized Health Care Education/Training Program | 50 Acacia Ave, San Rafael, CA 94901-2230 | 2020-09-11 |
| Find all providers in SAN RAFAEL | ||||
| City | SAN RAFAEL |
| Zip Code | 94901 |
Please comment or provide details below to improve the information on JESSICA TAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.